top of page

Breast Augmentation plus Breast Lift (mastopexy) is a procedure during which the plastic surgeon inserts breast implants to enlarge the breasts and performs breast lifts (mastopexy) to raise the nipples and/or improve the shape of the natural breasts. Doctor Perrotta and Dr. Luppens have decades of experience with this combination of procedures.  For the convenience and privacy of their patients, they perform the majority of these cases in the state-of-the-art operating room suite located inside the Salisbury office complex.



Larger, perky, shapely, lifted breasts

Nipple-areolar complexes in a more desirable size and location





  • Women with small breasts and nipples that point downward

  • Women with breasts that are located too low on their chest wall due to:

    • Pregnancy

    • Weight loss

  • Women who have breast asymmetry (uneven breasts)

  • Women who simply desire their breasts to be larger and lifted


What to Expect at your Consultation

Drs. Perrotta and Luppens will devote as much time as necessary to discuss your individual goals and needs with you. After a focused physical examination, your surgeon will provide preliminary recommendations and explain what you can expect from surgery.


Once your surgeon determines his surgical plan, our aesthetic coordinator will produce a written quote, which lists all costs of your proposed surgery so that there are no surprises. At that time, an appointment is set for your pre-op visit. 


Pre-Op Visit

Much is covered during your pre-op visit. First, one of our highly trained medical assistants will take pre-op photos. Next, your surgeon will explain the surgical technique to you and thoroughly inform you as to what you can expect, including any potential complications. Note that all procedures involve some risk, but major complications are rare. Dr. Perrotta or Dr. Luppens will then obtain a more complete medical history from you and perform a final pre-op physical examination, including a check of your vital functions to ensure that you are physically fit for surgery. All informed consents for surgery will be filled out at this appointment and final payments are due at this time.  You will be notified 24 hours prior to your surgery with your arrival time.


Breast Enlargement with Lift Procedure

Drs. Perrotta and Luppens perform breast enlargement plus lifts on an outpatient basis under IV sedation and local anesthesia or general anesthesia.

The design of the incisions varies but usually includes an incision around the nipple-areolar complex.  Beyond this, and depending on your anatomy and the severity of droop, there can be some variability.  If your surgeon determines a donut mastopexy is best for you, you will not need any other incisions.  If he determines a lollipop lift is for best for you, he will need to make another incision extending from the circular incision around the nipple areola complex down to the fold under the breast.  If he determines an anchor scar is needed, he will add a curved, horizontal incision along the fold.

In most cases, our surgeon raises the nipple-areolar complex, removes the excess skin, and reshapes the breast, which together provides a more pleasing contour and youthful position.  He will also insert implants to enlarge the breasts as well.  

After he closes the wounds, the surgical team applies the dressings and either a specialized bra or ace bandages.


Post-Op Recovery

You can go home the same day wearing the dressings and the bra or ace bandages.

You will leave the bra or ace intact until you are instructed to change the dressing.

Any initial discomfort is easily controlled with oral pain medication. You can resume light activities in about 5-10 days.

After your procedure, you will follow up with us several times so that we can monitor your healing.

Visit Breast Enlargement with Lift Before + Afters

bottom of page